The philosophy of therapy at TIRR Memorial Hermann is to promote recovery of lost movement in addition to teaching functional skills. This promotion of recovery uses hands-on techniques to make the weaker limb(s) move and activate as much as possible.
Skills Practiced in Inpatient Therapy
The range of skills practiced in therapy include:
- Cognition and communication tasks which work on speaking, processing and memory
- Activities of daily living which include eating, grooming, dressing, hygiene, bathing and toileting
- Mobility skills which include moving in bed, transferring to different surfaces (car, furniture, wheelchair, bed), standing, walking and climbing stairs.
Aquatic (pool) therapy is available if indicated. It allows the body to be supported while working on strengthening and functional activities, walking, etc. Learn more about aquatic therapy »
Bodyweight-supported treadmill training is available as indicated to assist in recovery of walking and standing skills.
Patient Participation in Inpatient Therapy
The patient’s ability to sit up, the amount of endurance the patient has to tolerate therapy, as well as his or her medical and nursing needs, determine the ability to participate in therapy services. Many factors are involved and decisions are made by the team as to what is most appropriate for the individual.
There are many different therapy groups that support the educational needs, physical needs, cognitive and psychosocial needs of the patient. Therapy groups are just as important as individual treatment sessions.
Patients who are on certain restrictions, such as isolation, may be limited in their ability to participate in groups. Group treatment is added to the schedule as the patient’s endurance and medical needs allow.
Frequency of Inpatient Therapy
The goal for acute inpatient rehabilitation is to provide a minimum of three hours of therapy per day, Monday through Friday. The maximum amount of therapy a patient would receive is approximately six hours.
Weekend therapy is also offered depending on patient needs and abilities. Practice on the patient care unit, as well as opportunities with rehabilitation nursing, are also important components of the rehabilitation program.
Location of Inpatient Therapy
Therapy is provided in many areas. Patient rooms and even hallways can be therapeutic environments depending on the goal for the particular session. Therapy is mostly provided in one of our many gym areas: 1st floor main gym, 2nd floor gym, 3rd floor gym or 4th floor gym.
Additional Activities for Patients and Families
Patients and families are strongly encouraged to attend all of the relevant education classes we offer, such as RAPS (Readiness and Preparation for Self-care) classes for SCI patients and Family Times for brain injury and stroke patients.
The chaplain offers classes and services for all patients and families. Weekend activities and occasional evening activities are also offered and encouraged for patients and families.
Weekends Inpatient Therapy Options
Individual weekend therapy (Saturday or Sunday) is offered to patients on a priority basis depending on multiple factors, one of which is the day of the patient’s admission. Therapy groups are also offered to encourage therapeutic progress on the weekends.
Your therapy team will work with you to determine what is most appropriate on any given weekend. In addition to therapy groups and individual therapy, other activities are offered for all patients and families on the weekends.
Therapeutic recreation specialists use recreational methods and experiences to:
- Improve functional abilities in therapy
- Provide education and training in recreational skills and attitudes for healthy recreation
- Promote social interaction and healthy living through group and community recreational and leisure
Benefits of Therapeutic Recreation
- Promote social interaction and appropriate recreational participation
- Encourage creativity
- Help with coping and adjustment while the patient works on enhancing functional abilities
Your Team of Caregivers
The Interdisciplinary Team at TIRR Memorial Hermann
Rehabilitation is a complex process. Its success depends on multiple disciplines seamlessly working together to set treatment goals and monitor progress.
The care of each patient admitted to TIRR Memorial Hermann is managed by a full interdisciplinary team of highly qualified individuals with specialized training in the field of rehabilitation. The team, led by a physician who specializes in physical medicine and rehabilitation, includes physical therapists, occupational therapists, speech therapists, music therapists, rehabilitation nurses, pharmacists, social workers, case managers, dietitians, therapeutic recreation specialists, neuropsychologists and respiratory therapists. Each team member contributes to the overall plan of care for the patient.
A patient's team of caregivers may include:
- Doctors coordinate the development and implementation of the rehabilitation plan and manage medical issues. They often work in collaboration with physician consultants. See the physician directory.
- Nurses provide specialized rehabilitation nursing care, designed to prevent complications, support adaptive capabilities, provide comfort and teach patients to care for themselves.
- Case Managers coordinate the patient's overall program and communicate with insurance representatives.
- Social Workers help the patient and caregiver to understand and participate in the rehabilitation process, adjust to the changes in their lives, explore available options and services, and develop plans for return to home and community.
- Occupational Therapists assist the patient with the development of daily living skills and provide training in the use of adaptive and mobility equipment to encourage independence.
- Physical Therapists focus on the patient's mobility skills, and assess and treat impairments in strength, range of motion, balance, coordination and function.
- Respiratory Care Practitioners work with patients requiring ventilators and other respiratory care.
- Speech-Language Pathologists help patients to enhance their communication, cognitive skills and swallowing function.
- Psychologists and Neuropsychologists assist patients with the emotional and mental adjustments to illness or injury and assess cognitive function.
- Therapeutic Recreation Specialists assess a patient's leisure lifestyle and assist in adapting existing leisure skills or learning new ones.
- Music Therapists provide patients with additional opportunities to learn and practice physical and cognitive skills through rhythm and music.
- Clinical Dietitians evaluate a patient's nutritional needs and dietary preferences, and develop appropriate plans.
- Pharmacists assess a patient's response to medications and implement appropriate monitors to ensure the best outcomes with pharmacotherapy. They also educate patients about their medications prior to discharge.
The Role of Family and Friends
The role of family and friends is critical to the rehabilitation process. Throughout the rehab stay, we are committed to teaching the information and skills needed to care for your loved one. We will provide opportunities to practice new skills with guidance from our staff. We encourage involvement in daily care and decision making. Your participation is valued and encouraged; we invite you to attend therapies and collaborate with all members of the rehab team. The entire care team will be guides to ensure you feel comfortable as you prepare to leave this setting.
Inpatient Programs and Services by Location